NPI 1700255668 · live from the CMS NPI Registry
Kimberlee Danielle Blevins, PA
Physician Assistant in Lexington, KY. National Provider Identifier 1700255668, active.
NPI record
| NPI | 1700255668 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 1221 S Broadway, Lexington, KY 40504 |
| Practice phone | 859-258-4000 |
| Mailing address | Po Box 390, Huntington, WV 25708 |
| Enumerated | September 22, 2015 |
| Last updated | July 17, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | PA2021 (KY) |
| Physician Assistant | 363A00000X | TC424 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.